HomeMy Public PortalAbout9445 LAS TUNAS DR_Building_5/29/1974_new restaurant APPLICATION FOR BUILDING PERMIT
FOR APPLICANT TO FILL IN (P, ,t or type on�Y) p!
BU,LDING COUNTY OF LOS ANGELES z
ADDRESS r—, L-AS JO NA6 DEPARTMENT OF COUNTY ENGINEER '
CITY Fz Gi ZIP BUILDING AND SAFETY DIVISION
_ O.OF BLDGS. BUILDING. L�
SIZE OF LOT (�� NOW ON LOT ADDRESS �-_J t ii
TRACT YCs ZC� BLOCK - 'C70 .LOCALITY ..i
TEL. NEARESTCC
OWNER �s �;rL1Z { NO, CROSS ST. . if
ASSESSOR 7
ADDRESS ,l3 2 i FSi.V:YJ, MAP BOOK - PAGE RCEL L3
DISTRICT - GROUP TYPE FIRE PROC SSED BY
CITY L 1_� J3r4l,-_b4- ZIP �.I�+C�� CONS ZON
R _ J . TEL.
ARCHITECT O �•„//(/(1 C �;.q�; iit
ENGINEER '�•-� ®1 �` ✓7•VbMr`l,O• G7 !i7Z"�'� '
STATISTICAL CLASSIFICATION /SEWER AP �•
ADDRESS. 64'Z W• S CLASS NO.- _._DWELL-UNITS L� BK P� :2'
CONTRACTOR 6\-,4k -yZ_ NOL �, USE ZONE NOP
LIC. ,�� SPECIAL C ��
ADDRESS � NO. � CONDITIONS
CITY LIC. _
CLASS ROAD DEPARTMENT APPROVAL REQUIRED, YES❑,. NO,❑
CONSTRUCTION LENDER
NAME AND BRANCH BLDG.SETBACK FROM a
FRONT PROP.LI NE OF (STREET) CC.'.
ADDRESS CITY _ TOTAL SETBACK FROM TYPE OF EXISTING
HIGHWAY �+ ` YARD - tx
SQ. FT NO. OF NO. OF CHECK FRONT PROP. LINE HIGHWAY WIDTH
SIZE LG STORIES FAMILIES ONE
L.
DESCRIPTION OF WORK '
NEW ne? V
ADD ❑ BLDG.SETBACK FROM
SIDE PROP.LINE OF leiy✓ (STREET) .
ALTER ❑ HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING
REPAIR El ` SIDE PROP. LINE HIGHWAY WIDTH
US E;O F
EqTING.BLDG.. DEMOL ❑ •_ ;. p .
MAP LICINT - TEL _ CORNER CUTOFF: YES ❑ NO. ❑„ _
BY•v -R.E) IN OPEN SPACE• YES-El - - NO E]
aA IN COASTAL ZONE YES ❑ NO ❑
VALUATION Y 12 - CATEGORICAL.EXEMPTION YES❑ NO ❑
I HEREBY-ACKNOWLEDGE THAT I HAVE READTHIS APPLICATION ENVIRONMENTAL
AND STATE.THAT THE. ABOVE IS CORRECT AND.AGREE TO COMPLY IMPACT'- EXEMPTION DECLARATION SIGNED (DATE) .
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON-
STRUCTION., 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED '(O A TE)
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE —
LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO
WORKMEN'S COM PE.NSATION UR E. - •'1''q�' �! /'�� Q.7 i ��!> /f�`< !•✓'�fnf-L...//�S fJ lf�
SIGNATURE O F-u A _0 � 77,
PERMITTEE. �-
ADDRESS
TEL.
FINAL.. �J BYy/�/� '/7-- �C � /
DATE/•� �/ ///�/ �..".t•1—A/
CITY
—NO. /•��
AfAXF CHECKS PAYABLE TO: FEE 41 FEE
HARVEY T. BRANDT. COUNTY ENGINEER
PLAN CHECK VALIDATION CK. M O. CASH PERMIT VALIDATION cK. M.O CASH
4 0-4"TAPR .a' 2 3- D 4.8 7.3 5 �o J
�J� �y�.✓/'j
• 764'638A CE9803 7/73
_ y 2, 0.41 MAY